Cognitive Therapy Strategies After Traumatic Brain Injury

The nature and extent of the cognitive impairment following TBI can range widely, depending on the severity and positioning of the injury. If a focal brain injury transpires, the outcome could be comparable to an injury provoked by a CVA (Cerebrovascular accident or stroke), such as: 

  • Aphasia

Impacting the ability of the patient to communicate either written, spoken or both.

  • Apraxia

The loss of ability to do motor skills due to brain injury

  • Unilateral neglect

Involves inattention of sensory on one side of the body and over attention of sensory on the other. 

  • Visuospatial dysfunction

 Involves understanding how objects are in relation to space

Nevertheless, these are the usual findings following TBI. Due to the mechanisms of acceleration-deceleration, the most common symptoms include and memory deficiency, difficulty in adhering to new data, solving problems, planning, and problems linked to impulsivity and self-control. 

Some "subclinical" findings such as a change in naming, verbal fluency, and auditory perception are also reported. In the initial stages, attention deficits are the most frequent and severe in the residual stage, usually concerning difficulty sustaining divided attention. 

The long-term memory is usually regained, but some patients maintain challenges in learning new information and remembering it.

What is Cognitive-behavioral therapy (CBT) for brain injury

CBT is the therapy used to address emotional disturbances in patients with a TBI. Evidence has shown patients have made the most progress when this type of therapy is incorporated into their treatment plan with the ultimate goal of acclimating back into society. 

CBT addresses defects in attention, memory and functioning. This helps them to be better able to participate in all areas of rehabilitation while in a post acute rehabilitation center. Included are:

  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy
  • Recreational Activities
  • Exercise Programs
  • Nutritional Counseling

Let’s look more closely at how CBT improves cognitive functioning overall. 

 

How Can I Improve My Cognitive Function After Traumatic Brain Injury

One of the most critical elements in post-acute brain injury rehabilitation is cognitive therapy. Cognitive Behavior Therapy aids people in achieving specific changes or goals, which might include:

  • A way of acting: e.g., smoking less or being more sociable;

  • A way of feeling: e.g., encouraging a person to be less afraid, less depressed, or less worried;

  • A way of thinking: e.g., learning problem resolution or getting rid of self-deprecating feelings;

  • A way of managing physical or medical problems: e.g., reducing back pain or supporting a person in following the doctor's instructions.

Cognitive Behavior Therapists customarily concentrate more on the present circumstances and their resolution rather than the past. They focus on a person's viewpoints and beliefs about their life, not on personality characteristics. 

Cognitive Behavior Therapy treats patients and their parents, children, life partners, and families. Superseding outdated, ineffective ways of living, with patterns of living that work, and helping patients gain better control over their lives, is the primary goal of cognitive behavior therapy.

Here are three strategies that will allow therapists and caregivers to set the best conditions for cognitive therapy of TBI patients in post-acute brain injury rehabilitation:

Promote Self-Awareness

The treatment of most executive cognitive functions starts with supporting the self-awareness of deficiencies. 

Without recognizing how impairments influence performance, a patient might be resistant to cooperation with therapists on a recovery program.

For instance, it is challenging for the therapist to work on an anger management program or problem-solving strategies with patients who don't understand that they face these difficulties.

Develop Goals

Goal-setting considerably affects community participation. A patient without goals has trouble making decisions and becoming motivated to overcome the challenges that go with the TBI functional recovery.

For example, when patients are asked to "consider the consequences" of a specific action, You might urge them to examine the result of this action on the outcome of their goals, like independent living, work, academic progress, more satisfying relationships, etc. Absence of goals compromises behavior change, decision-making, and motivation.

Facilitate Problem-Solving Skills

Through functional activities that build self-awareness and self-confidence, patients may re-establish meaningful life roles and an efficient everyday routine, even when confronted with residual deficits. These qualities, in turn, will allow patients to solve their daily problems more effectively and with confidence. 

How Long Will CBT Take After Brain Injury?

Every brain injury is unique so the time one needs to participate in CBT will vary based on the severity of the TBI. Some patients only need a few sessions while others may participate for years. 

Therapists track progress and goals. They may determine milestones such as when a patient is ready to move out of residential and acclimate to home. It is important no patient be rushed and full patience to get the most out of CBT. 

In the therapeutic relationship, it's crucial to know how to rate activities, strengthen patient's self-esteem, and promote long-term patient participation in a home setting and the community.

If, after reading this article, you believe a TBI rehab center is the way to go when it comes to your cognitive therapy needs, and you are wondering, "where will I find the best Neuro Rehab Center Near Me?" look no further! 

Learn More About NeuLife Rehabilitation in Florida 

Have your or a loved one suffered a traumatic brain injury

NeuLife Rehabilitation is one of the best TBI rehab centers with specialized catastrophic rehabilitation programs for many devastating injuries. 

Our programs for neuro rehab, including cognitive therapy, are customized to meet each patient's individual needs, and care plans are structured to promote the highest level of functional independence and successful community reintegration. 

Through the skills and experience of our highly trained team of clinical experts, we can treat a wide range of diagnoses and injuries at our brain injury facility.

If you have any more questions concerning post-acute brain injury rehabilitation or any other issue regarding brain injury, call us at 800.626.3876 or make a referral today. You can also schedule a tour to visit our best brain injury facility.

 The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.

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Dedicated to providing the highest caliber of care to individuals with brain injuries, NeuLife Rehabilitation is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF).
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